D393 exam Study Guide with Correct Solutions
Sick funds in 1910: - ANSWER A fund established to provide compensation to workers who
became ill or injured on the job
Blue Cross - ANSWER The first true insurance began in 1929 at Baylor University Hospital in
Dallas, Texas. The plan only covered hospital services, in large part because the AMA opposed
any form of health insurance
Blue Shield - ANSWER The first medical service plan to cover physician services was established
in 1939 in California. The plans offered free choice of physician and were endorsed by the
AMA. They were indemnity plans, helping to establish the long-held tradition of providing
reimbursement to the patient, who in turn was responsible for paying the physician
Medicare and Medicaid: Medicare was intended to cover the elderly (age 65 or older), and
Medicaid covered the poor - ANSWER Medicare was intended to cover the elderly (age 65
or older), and Medicaid covered the poor
Eradication of smallpox? - ANSWER 1796, Edward Jenner created the first effective
vaccine against smallpox
1813: - ANSWER Vaccine act
Who performed the first human organ transplant surgery? - ANSWER Dr. Joseph Murray and Dr.
David Hume performed the first human kidney transplant in Boston's Brigham Hospital,
transplanting kidneys from one twin brother to the other.
How was healthcare carried out in the 1700s? - ANSWER In the home
, What led to doctors charging more for their services in the 1800s? - ANSWER Medical
education and licensing advancements all assisted in creating the profession's standards
and advancing the profession of healthcare. This led to professional sovereignty and
increased costs.
fee-for-service - ANSWER physicians and healthcare professionals are paid according to the
number of services or operations they provide.
case management - ANSWER helps patients and their families identify the resources and
support available within a benefit plan, a business or institution, and the local
community
Blue Shield - ANSWER was established in 1939 and became the first medical plan to cover
physician services.
Hill-Burton Act - ANSWER also known as the Hospital Survey and Construction Act,
provided subsidies for building hospitals and nursing homes.
Emergency Medical Treatment & Labor Act (EMTALA) - ANSWER This act guarantees everyone
access to emergency treatment, regardless of financial status.
Mental Health Parity and Addiction Equity Act - ANSWER This act required insurance coverage
for mental health conditions, including substance use disorders, to be no more restrictive
than insurance coverage for other medical conditions.
Affordable Care Act - ANSWER The primary focus of this act was to make affordable health
insurance available to more people.
Consolidated Omnibus Reconciliation Act (COBRA) - ANSWER This law mandates that
businesses with 20 or more staff must provide healthcare benefits at the group rate to
workers who depart the firm willingly or involuntarily.
Sick funds in 1910: - ANSWER A fund established to provide compensation to workers who
became ill or injured on the job
Blue Cross - ANSWER The first true insurance began in 1929 at Baylor University Hospital in
Dallas, Texas. The plan only covered hospital services, in large part because the AMA opposed
any form of health insurance
Blue Shield - ANSWER The first medical service plan to cover physician services was established
in 1939 in California. The plans offered free choice of physician and were endorsed by the
AMA. They were indemnity plans, helping to establish the long-held tradition of providing
reimbursement to the patient, who in turn was responsible for paying the physician
Medicare and Medicaid: Medicare was intended to cover the elderly (age 65 or older), and
Medicaid covered the poor - ANSWER Medicare was intended to cover the elderly (age 65
or older), and Medicaid covered the poor
Eradication of smallpox? - ANSWER 1796, Edward Jenner created the first effective
vaccine against smallpox
1813: - ANSWER Vaccine act
Who performed the first human organ transplant surgery? - ANSWER Dr. Joseph Murray and Dr.
David Hume performed the first human kidney transplant in Boston's Brigham Hospital,
transplanting kidneys from one twin brother to the other.
How was healthcare carried out in the 1700s? - ANSWER In the home
, What led to doctors charging more for their services in the 1800s? - ANSWER Medical
education and licensing advancements all assisted in creating the profession's standards
and advancing the profession of healthcare. This led to professional sovereignty and
increased costs.
fee-for-service - ANSWER physicians and healthcare professionals are paid according to the
number of services or operations they provide.
case management - ANSWER helps patients and their families identify the resources and
support available within a benefit plan, a business or institution, and the local
community
Blue Shield - ANSWER was established in 1939 and became the first medical plan to cover
physician services.
Hill-Burton Act - ANSWER also known as the Hospital Survey and Construction Act,
provided subsidies for building hospitals and nursing homes.
Emergency Medical Treatment & Labor Act (EMTALA) - ANSWER This act guarantees everyone
access to emergency treatment, regardless of financial status.
Mental Health Parity and Addiction Equity Act - ANSWER This act required insurance coverage
for mental health conditions, including substance use disorders, to be no more restrictive
than insurance coverage for other medical conditions.
Affordable Care Act - ANSWER The primary focus of this act was to make affordable health
insurance available to more people.
Consolidated Omnibus Reconciliation Act (COBRA) - ANSWER This law mandates that
businesses with 20 or more staff must provide healthcare benefits at the group rate to
workers who depart the firm willingly or involuntarily.
